2022 APR I I nil 8: 59
Position
Board/Commission/Comm ittee Applying for*
I Senior Advisory_C_o_m_m_is_si_on ___________ _,
Personal Information
Name* Email*
[Rick Andrews J f
Address*
Street Address
~
Address Line 2
r
City Stale / Province I Region
l Santa clara ] ~
Postal / Zip Code Country
[95054 J i usa
Primary Phone#* Secondary Phone #
Additional Information
k e you eligible to vote In Santa Clara?*
I v es
ke you a registe red voter of Santa Clara?*
[ Yes
Have you atte nded a meeting of this Board/ Commission/ Committee?*
[Yes -----------
Job Title
l Facilities Manager
Work Experience
Present Employer
[valley Medical-Center
Previous Government Bodies/ Elective Offices Applicant has served Government Bodies/
Elective Offices
[_
Position( Office Held
Civic or Charitable Organizations to which Applicant has belonged From Date
Civic or Charitab le Position Held From Date
Orga nization L ::=J ._ _________ J I __ _
Special Interests , Hobbies or Talents
[._
High School, College, Professional, Vocational Schools attended High School, College, Professional, Major Subject
Vocat iona l School
To Date
To Date
IC
Degree Dates I Anticipa ted
Graduat ion
]
=1
[~;1'1-!~~l:l s!ate
Special awards or recognition received
Reasons
Please state reasons why you want to become a member of this Bomd/Commission/Committee, including what specific objectives you would be working toward as a member of this advisory board:
Additional Information
Any other information which you feel would be useful to the City Council in reviewing your application:
Conflict of Interests
Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position?
[
Abstaining from Votes
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? Signature and Acknowledgement
Signature*
By clicking submit you are confirming that you are the person listed in this application, and that all information provided is truthful and correct. All information provided will be public information.
RECEt" ~rED
APR ·2 7 2022
-,
City Clerk's Office c- I
City of Santa Clara ;;:J !OSAM
Position
Board/Commission/Committee Applying for*
I Senior Advlsory:....C_o_m_m_lss_lo_n _________ _ _ __, Personal Information
Name*
I Veena N. Sterling
Address*
Street Address
Email*
[ _ _______________ ___,
I Address Line 2
City
1 I Santa Clara
Postal / Zip Code
I I 95051
Primary Phone#*
Additional Information
Are you eligible to vote in Santa Clara?*
Yes
Have you attended a meeting of this Board/ Commission/
Committee?*
No
Job Title
I Sr. RFP Program Manager
Work Experience
State / Province / Region
CA
Country
USA
Secondary Phone # -----------------.
Are you a registered voter of Santa Clara?*
Yes
Present Employer
lvMware
_ -~~~".'.!?U.~~-~~e.r_~~e.nt __ Bodie:-_L_~l~~~lve 9~!9.~~-~ppl(cant ~~ s~rve~ .
Government Bodies/ Position/ Office Held From Date To Date Elective Offices
Civic or Charitable Position Held From Date To Date
Organization
1 I Planned parenthood I volunteer
2 I Amnesty International I volunteer
:::14=,1=,1:::ga::a=========:::::II::: 4=,1=,2=01=0=========~1 .._I 4_/1_/1_97_9 ____ ___,I._I 4_/1_/1_98_1 ____ ___,I I I
Special Interests, Hobbles or Talents
Reading, Writing, Gardening, Exercising, Volunteering
I __ High School, _College, Professional, Vocational_Schools attended···-······••.-·- ····-·····-·· ···-· ··---------· · High School, College, Professional, Major Subject
Vocational School
I Bombay University l~E_n_g_lis_h_Li_te_r_a_tu_re ______ ~ Special awards or recognition received
None really.
Reasons
Degree Dates I Anticipated
Graduation
1s1301197s
Please state reasons why you want to become a member of this Board/Commission/Committee, including what specific objectives you would be working toward as a member of this advisory board:
I am impressed with how effective the city of Santa Clara has been with the activities it offers its senior citizens, and as I approach retirement age I want to be involved in some of the planning activities. · Additional Information
Any other information which you feel would be useful to the City Council in reviewing your application:
Conflict of Interests
Are you associated with any Organization/Employment that might be deemed a conflict of interest in performing your duties if appointed to this position?
No
Abstaining from Votes
City policy directs all advisory body members not to vote on matters where there exists a potential conflict of interest. Would you be willing to abstain from voting if such a conflict arises? Yes
Signature and Acknowledgement ·
Signature*
By clicking submit you are confinning that you are the person listed in this application, and that all infonnation provided is truthful and correct. All information provided will be public information.